Polichetti, Michael James

Polichetti, Michael James is an sole proprietor health care provider with primary practice located at 165 E Park Ave , Niles OH 44446-2352. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Polichetti, Michael James can be contacted via phone (330) 544-8005.

Contact Information

Primary practice address
165 E Park Ave Niles OH 44446-2352
Phone: (330) 544-8005
Fax: (330) 544-9379
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X I.2002052-SUPV Ohio

Profile Details

NPI number 1578092359
LBN Legal business name Polichetti, Michael James
Credentials MSW, LISW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 6th, 2017
Last updated Jun 5th, 2024 - about 5 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578092359 NPPES
Ohio MEDICAID 0278508

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